Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.
Center for Bioethics and Social Science in Medicine, University of Michigan, Ann Arbor, Michigan, USA.
J Appl Clin Med Phys. 2022 Mar;23(3):e13554. doi: 10.1002/acm2.13554. Epub 2022 Feb 7.
Medical physics residents (MPRs) will define and shape the future of physics in medicine. We sought to better understand the residency experience, as related to resilience and well-being, through the lens of current MPRs and medical physicists (MPs) working with residents.
From February-May 2019, we conducted 32, 1-h, confidential, semi-structured interviews with MPs either currently enrolled in an accredited residency (n = 16) or currently employed by a department with an accredited residency (n = 16). Interviews centered on the topics of mentorship, work/life integration, and discrimination. Qualitative analysis methods were used to derive key themes from the interview transcripts.
With regard to the medical physics residency experience, four key themes emerged during qualitative analysis: the demanding nature of medical physics residencies, the negative impacts of residency on MPRs during training and beyond, strategies MPRs use to cope with residency stress, and the role of professional societies in addressing residency-related change.
Residency training is a stress-inducing time in the path to becoming a board-certified MP. By uncovering several sources of this stress, we have identified opportunities to support the resiliency and well-being of MPs in training through recommendations by professional societies, programmatic changes, and interventions at the department and residency program director level for residency programs, as well as strategies that MPRs themselves can use to support well-being on their career journey.
医学物理住院医师(MPR)将定义和塑造医学物理学的未来。我们希望通过当前 MPR 和与住院医师一起工作的医学物理学家(MP)的视角,更好地了解与弹性和幸福感相关的住院医师经历。
在 2019 年 2 月至 5 月期间,我们对 16 名正在参加认可的住院医师培训的在职 MP 和 16 名在有认可的住院医师培训的部门工作的在职 MP 进行了 32 次、每次 1 小时的保密半结构化访谈。访谈的重点是指导、工作/生活融合和歧视等主题。使用定性分析方法从访谈记录中得出关键主题。
在医学物理住院医师经历方面,定性分析中出现了四个关键主题:医学物理住院医师培训的苛刻性质、 residency 对 MPRs 在培训期间和之后的负面影响、MPRs 用于应对 residency 压力的策略,以及专业协会在解决与 residency 相关的变化方面的作用。
住院医师培训是成为 board-certified MP 道路上的一个压力诱导时期。通过揭示这些压力的几个来源,我们已经确定了通过专业协会的建议、计划变革以及部门和住院医师计划主任层面的干预措施为住院医师培训提供支持弹性和幸福感的机会,以及 MPRs 自己可以在职业旅程中使用的支持幸福感的策略。